Individual
KRISTEN ELIZABETH ROUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
201 N CANAL BLVD, THIBODAUX, LA 70301-2910
(985) 446-5646
Mailing address
13380 JOHN C ST, VACHERIE, LA 70090-3071
(985) 414-3896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021188
LA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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